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Minimally invasive surgery improves short-term outcomes of nerve-sparing radical hysterectomy in patients with cervical cancer: a propensity-matched analysis with open abdominal surgery / 부인종양
Journal of Gynecologic Oncology ; : e27-2019.
Article in English | WPRIM | ID: wpr-740185
ABSTRACT

OBJECTIVES:

Nerve-sparing radical hysterectomy has been implemented in order to reduce pelvic floor dysfunctions in women undergoing radical surgery for cervical cancer. Here, we aimed to investigate if the adoption of laparoscopic surgery impacts on patients' outcomes.

METHODS:

Data of consecutive patients affected by cervical cancer who had laparoscopic nerve-sparing radical hysterectomy were matched 11 with an historical cohort of patients undergoing open procedure. A propensity-score matched algorithm was applied.

RESULTS:

Thirty-five patients' pairs (70 patients 35 undergoing laparoscopic vs. 35 undergoing open abdominal nerve-sparing radical hysterectomy) were included. Demographic and baseline oncologic characteristics were balanced between groups. Patients undergoing laparoscopic surgery had similar operative time than patients undergoing open abdominal procedures (249 [±91.5] vs. 223 [±65.0] minutes; p=0.066). Laparoscopic approach correlated with lower blood loss (30.5 [±11.0] vs. 190 [90.4] mL; p < 0.001) and shorter hospital stay (3.2 [±1.2] vs. 5.4 [2.0] days; p=0.023). Patients undergoing laparoscopy experienced a lower 30-day pelvic floor dysfunction rate than patients having open surgery. Moreover, they experienced shorter recovery of bladder function than patients having open procedures (median, 7 vs. 9 days; p=0.004, log-rank test).

CONCLUSIONS:

Laparoscopic approach resulted in a faster recovery of bladder function in comparison to open surgery for patients undergoing nerve-sparing radical hysterectomy.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Urination Disorders / Urinary Bladder / Uterine Cervical Neoplasms / Cohort Studies / Laparoscopy / Pelvic Floor / Minimally Invasive Surgical Procedures / Operative Time / Hysterectomy / Length of Stay Type of study: Etiology study / Incidence study / Observational study / Risk factors Limits: Female / Humans Language: English Journal: Journal of Gynecologic Oncology Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Urination Disorders / Urinary Bladder / Uterine Cervical Neoplasms / Cohort Studies / Laparoscopy / Pelvic Floor / Minimally Invasive Surgical Procedures / Operative Time / Hysterectomy / Length of Stay Type of study: Etiology study / Incidence study / Observational study / Risk factors Limits: Female / Humans Language: English Journal: Journal of Gynecologic Oncology Year: 2019 Type: Article